SearchIllinois101YA0400X

Isidro Cardona, MED.,CADC.,NCRS

NPI 1760507156 · on the registry since 2007

Practice

Address
2230 N 77th Ave
Elmwood Park, IL 60707
Phone
(708) 452-0865

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois